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[精神健康与轻度精神障碍之间的关系:一项横断面研究]

[Relationship between spiritual well-being and minor psychiatric disorders: a cross-sectional study].

作者信息

Volcan Sandra Maria Alexandre, Sousa Paulo Luis Rosa, Mari Jair de Jesus, Horta Bernardo Lessa

机构信息

Curso de Mestrado em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, RS, Brasil.

出版信息

Rev Saude Publica. 2003 Aug;37(4):440-5. doi: 10.1590/s0034-89102003000400008. Epub 2003 Aug 20.

DOI:10.1590/s0034-89102003000400008
PMID:12937704
Abstract

OBJECTIVE

To assess the influence of spiritual well-being in mental health of college students.

METHODS

It was interviewed 464 medical and law students of Pelotas, Brazil. Data collection was carried out in groups in the school classroom, 43 absent students were not interviewed and represented a loss of 9.3% of the sample. It was used a self-reported questionnaire with three instruments: 1) Spiritual Well-Being Scale (SWBS), 2) SRQ-20, and 3) a precoded questionnaire with questions on sociodemographic data, religious/spiritual practices, and stressful life events. Statistical analysis was performed using Chi-square test and logistic regression.

RESULTS

Most of the students (80%) declared that they had a spiritual belief and/or religious denomination. The mean score of spiritual well-being was 90.4 with scores 45.6 and 45.1 in the existential and religious subscales, respectively. SWBS showed an association with religious practices, but it was not influenced by sociodemographic and cultural variables. Subjects presenting low and moderate spiritual well-being showed a doubled risk of presenting minor psychiatric disorders (MPD) (OR=0.42; 95%CI: 0.22-0.85). Subjects presenting low or moderate existential well-being showed almost five times more MPD (OR=0.19; 95%CI: 0.08-0.45).

CONCLUSIONS

The study reveals spiritual well-being as a protection factor for minor psychiatric disorders, and that the results were mostly due to the Existential Well-Being subscale.

摘要

目的

评估精神幸福感对大学生心理健康的影响。

方法

对巴西佩洛塔斯的464名医科和法律专业学生进行了访谈。数据收集在学校教室分组进行,43名缺席学生未接受访谈,占样本的9.3%。使用了一份自我报告问卷,包含三种工具:1)精神幸福感量表(SWBS),2)SRQ - 20,以及3)一份预编码问卷,包含关于社会人口统计学数据、宗教/精神实践和应激性生活事件的问题。使用卡方检验和逻辑回归进行统计分析。

结果

大多数学生(80%)宣称他们有精神信仰和/或宗教派别。精神幸福感的平均得分是90.4,其中存在维度和宗教维度的得分分别为45.6和45.1。SWBS显示与宗教实践有关联,但不受社会人口统计学和文化变量的影响。精神幸福感低和中等的受试者出现轻度精神障碍(MPD)的风险增加一倍(OR = 0.42;95%CI:0.22 - 0.85)。存在幸福感低或中等的受试者出现MPD的几率几乎高出五倍(OR = 0.19;95%CI:0.08 - 0.45)。

结论

该研究揭示精神幸福感是轻度精神障碍的一个保护因素,且结果主要归因于存在幸福感维度。

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